MEDICARE: DRUG QUEST INC LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy	27442	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5903047	OTHER		NCPDP PROVIDER IDENTIFICATION NUMBER

General Provider Information

NPI Number	:	1659661411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG QUEST INC LLC

Provider Business Mailing Address
First Line	:	3802 S GESSNER RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5368
Country	:	US
Telephone Number	:	713-785-3400
Fax Number	:	713-785-3401

Provider Business Practice Location Address
First Line	:	3802 S GESSNER RD STE 500
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-5368
Country	:	US
Telephone Number	:	713-785-3400
Fax Number	:	713-785-3401

Authorized Official
Title or Position	:	PHARMACIST-IN-CHARGE
Name	:	ANGELICA OSUAGWU
Credential	:
Telephone Number	:	713-785-3400

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	06/16/2011

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